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Paediatric Surgery & Urology Unit

Paediatric Surgery & Paediatric Urology Unit at Nanavati Super Speciality Hospital is a dedicated unit providing the most comprehensive care to cater to unique medical needs of each child. Our multidisciplinary team of highly proficient paediatric surgeons hold expertise in treating various urological, gastrointestinal and thoracic congenital anomalies requiring complex reconstructive surgeries. We work in coordination with other specialities like neonatology, paediatric intensive care, paediatric nephrology, paediatric oncology, paediatric gastroenterology, and paediatric cardiology to provide a patient-centric and effective treatment plan.

Our Paediatric Surgery & Paediatric Urology Unit is well-equipped with state-of-the-art technology and ultra-modern operating theatres for performing paediatric surgical and urological procedures. Our advanced technology and instrumentation have made endoscopic, laparoscopic, & robotic surgeries possible in children, eliminating many other problems associated with open surgeries. 

What are the Services Provided at the Paediatric Surgery & Paediatric Urology Unit?

The services we offer at the unit include:
 

Paediatric Urology

Paediatric Urology is a sub-speciality of surgery which deals with disorders of the Genitourinary System in children that may be present since birth. These disorders in children are very different from that of an adult and include conditions associated with the kidneys, ureters, bladder, sexual and reproductive organs. 

We at the unit are committed to offering treatment for a wide range of urological problems affecting children including obstructions in urinary tract, vesicoureteral reflux, hypospadias, incontinence, undescended testes, genital abnormalities, and tumours of the kidney, bladder, testes, and vagina in children. Our team of highly experienced surgeons perform the most complex endoscopic, laparoscopic, & robotic surgeries endoscopic, laparoscopic, & robotic surgeries.

We offer treatment for a wide range of urologic problems affecting children, including obstructions in the urinary tract, hypospadias, vesicoureteral reflux, incontinence, genital abnormalities, undescended testes, and tumours of the kidney, bladder, vagina, and testes in children. Our team of highly-trained surgeons holds great expertise in performing laparoscopic, endoscopic & robotic urological surgeries with high precision and in a secure environment. The team follows a combined management approach and work in collaboration with our obstetrician and paediatric nephrologists, thereby, ensuring the best possible outcomes and focus on improving the quality of life of every patient.

Urological surgeries we offer include:

  • Artificial Urinary Sphincter Implantation: It is an advanced procedure that involves implantation of a device to treat moderate to severe conditions related to urinary incontinence, by restricting the urine flow.
  • Bladder Reconstruction: It is a surgical procedure to construct a bigger bladder, generally performed for children with incontinence due to posterior urethral valves or spinal anomalies (neurogenic bladder).
  • Cystoscopy: It is a minimally invasive telescopic examination of the urinary bladder and urethra.
  • Deflux Procedure: It is a non-invasive procedure that is used to treat vesicoureteral reflux (VUR). It involves injecting sterilized, biodegradable gel called Deflux into the bladder wall. 
  • Drug Therapy/ Pharmacotherapy: Under this therapy, a doctor provides medicine to treat disease.
  • Endourologic Surgery/Ureterorenoscopy (URS): It is a minimally invasive procedure used for treating kidney stones. 
  • Genitoplasty/Vaginoplasty: It is a type of a reconstructive functional & plastic surgery performed over genitals to treat a variety of endocrine conditions, congenital disorders (such as disorders of sexual differentiation), to repair injuries, and damage that has arisen due to cancer treatment.
  • Penile and Urethral Reconstruction: It is reconstructive surgery procedure performed for hypospadias, chordee, megalourethra, traumatic stricture of the urethra and other conditions.
  • Robotic Surgery: It is an advanced technology used to perform complex operations such as pyeloplasty, ureteral reimplantation, bladder augmentation, detrusorotomy etc.
  • Ureteral Reimplantation: It is a surgery performed to treat vesicoureteral reflux (VUR). VUR is a condition in which urine available in the bladder flows back into the kidneys.

Various Urological Disorders we treat include:

  • Hypospadias
  • Pelviureteric Junction Obstruction (Pyeloplasty) – Open, Laparoscopic & Robotic
  • Phimosis
  • Posterior Urethral Valve
  • Undescended Testis – Open & Laparoscopic
  • Uretrocele
  • Urinary incontinence
  • Vesicoureteral Reflux – Open, Pneumovesicoscopic & Robotic
     

Paediatric Laparoscopy & Robotic Surgery

It is a minimally invasive surgical procedure performed to treat children with a variety of medical conditions requiring surgery. The surgery performed by making a few small size (3 or 5 mm) incisions and involves the use of a thin, flexible optical instrument known as a laparoscope, which is inserted through one of these incisions for performing the surgery. It is the safest, efficient, technically feasible surgical technique offering many advantages over traditional methods. It is also very well tolerated in infants, young children, and teenagers.

Recently, the unit has also started offering highly advanced Robotic surgery to infants and children. This technique enables high precision for complex operations requiring reconstruction of stomach, intestines, kidneys, ureters, bladder and removal of tumours from chest and abdomen etc.

Laparoscopic surgeries we offer:

  • Laparoscopic Appendicectomy
  • Laparoscopic Cholecystectomy
  • Laparoscopic Fundoplication
  • Laparoscopic Nephrectomy
  • Laparoscopic Orchidopexy
  • Laparoscopic pull-through Procedures
  • Laparoscopic Pyeloplasty
  • Thoracoscopic Cyst Excision
  • Thoracoscopic Repair of Diaphragmatic Hernia

Robotic surgeries we offer:

  • Robotic Choledochal cyst excision and Hepatico-docho-jejunostomy
  • Robotic Resection & Anastomosis of Intestine
  • Robotic Fundoplication
  • Robotic Surgery for Morbid Obesity – Sleeve Gastrectomy, Roux-en-Y bypass etc.
  • Robotic Surgery for duodenal atresia
  • Robotic Gastric Pull-up for oesophageal replacement
  • Robotic Colon-rectal pull-through procedures
     

Neonatal Surgery

It is a branch of paediatric surgery that is dedicated to treating premature and critically ill new-borns requiring comprehensive care to deal with congenital problems necessitating surgical correction. We at the unit strive to offer advanced, intensive family-centred care to new-borns suffering from a wide spectrum of medical conditions. Our nationally recognised neonatologists first evaluate a patient’s medical condition through prenatal screening and then counsel parents, making them learn about their new-born’s condition and the course of treatment that need to be followed. 

We also have a dedicated neonatal intensive care unit which is facilitated with state-of-the-art life-supporting system. Our ultra-modern operating rooms are well-equipped with the latest in equipment, to treat complex conditions in new-borns. Our multidisciplinary neonatal surgical team includes surgeons, intensive care physicians, intensivists, respiratory therapists, physiotherapists, highly trained nurses and other surgical specialists, offers a patient-centric treatment plan to provide the best possible outcomes.

Neonatal surgeries we offer:

  • Anorectal Malformation
  • Diaphragmatic Hernia
  • Duodenal and other Intestinal Atresia
  • Hirschsprung’s Disease
  • Malrotation
  • Pyloric Stenosis 
  • Tracheoesophageal Fistula & Oesophageal Atresia
     

Paediatric Onco-surgery

It is a sub-speciality that deals with paediatric oncological conditions. It involves the diagnosis, treatment and management of cancer in children. At Nanavati Super-Specialty Hospital, we work in collaboration with our paediatric surgical oncology team intending to create an effective treatment plan to cure cancer in children. The treatment plan we offer is designed according to the medical needs of the child, which helps in improving overall outcome for our paediatric cancer patient.

Paediatric Onco-surgeries we offer:

  • Adrenal tumours
  • Ewing’s sarcoma
  • Germ cell tumour
  • Hepatoblastoma
  • Neuroblastoma
  • Resection of Lung or Liver Metastasis
  • Rhabdomyosarcoma and other soft tissue sarcomas
  • Wilms’ tumour

Adjunct procedures we offer:

  • Hickman and chemo port insertion for chemotherapy
  • Open, endoscopic & image-guided biopsy for diagnosis
  • Brachytherapy for locally invasive tumours
  • Day-care chemotherapy
  • Radiotherapy, whole field and image-guided
     

Day Care Surgery

Also termed as same-day surgery/ day surgery/ ambulatory surgery, is an outpatient procedure where a patient is discharged on the same day of the surgery/operation. Our team of highly experienced surgeons perform the advanced day-care surgery using modern surgical techniques such as laparoscopy and anaesthetic technological developments, intending to offer the best treatment solution in a comfortable and secure environment.

Day Care Surgery we offer:

  • Repair of Inguinal Hernia (Herniotomy- Open/Laparoscopic)
  • Umbilical Hernia Repair
  • Orchidopexy (Open/Laparoscopic)
  • Hydrocoele
  • Varicocele Ligation Surgery
  • Circumcision
  • Superficial Cyst Excision
  • Hickman Line Insertion

Paediatric Urodynamic

The Paediatric Urodynamic provides studies to evaluate bladder and urethral sphincter functioning in children. The unit offers a full spectrum of paediatric urodynamic tests to analyse the inside of your child’s bladder. These tests are usually performed for the testing of conditions such as neurogenic bladder, urinary incontinence (when a child experiences trouble staying dry), has other problems peeing (urination), having a urinary tract infection (UTI), or have structural problems with their urinary system.

Paediatric Radiology

It is a subset within general radiography specialising in the diagnosis of illnesses, injuries, and diseases of infants, children, and adolescents, using imaging techniques and equipment. We have a team of highly trained paediatric radiologists, paediatric anaesthesiologists, paediatric radiologic technologists, and paediatric nurses who follows a multidisciplinary approach to design a comprehensive treatment plan by involving a patient’s family. They make sure that every child under their care receives high-quality care in a comfortable and friendly environment.

The cutting-edge paediatric-specific low-radiation techniques we offer:

  • Computed Tomography (CT)
  • X-ray
  • Fluoroscopy

Non-radiation imaging modalities like 

  • Magnetic Resonance Imaging (MRI)
  • Ultrasound
     

Paediatric Anaesthesia

We have a team of well-trained paediatric anaesthesiologists committed to advancing the delivery of the most comprehensive anaesthesia care to infants and children undergoing various diagnostic, therapeutic and surgical procedures. The unit offers a multimodal approach to manage pain conditions associated with complex surgical/medical conditions as well as acute perioperative pain. We aim at providing care for neonates to young adults in a safe environment while improving outcomes for paediatric patients who require anaesthesia for non-surgical and surgical procedures.

Antenatal Counselling for Congenital Anomalies

Congenital Anomalies are usually the structural/functional anomalies or birth defect that affects the way a baby looks, develop, or function. About 3% to 4% of babies born each year have congenital disorders which may be there for a particular time or in some cases for the rest of their lives. Our highly experienced antenatal counsellors offer the comprehensive antenatal counselling to families for congenital anomaly based on various tests and diagnostic reports of their children. 

Find Complete Relief from Nanavati Experts

If you think you are facing similar conditions, or have suffered from them in the past, please contact the Nanavati team to schedule an appointment at : +91 22 2626 7500

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